| NPI | 1023436037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085402A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T1577) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD70008697) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME149761) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2026-03-03 |